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General NPI Number Information
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NPI Number | 1932437498
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Entity Type | Organization
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Legal Business Name | OPTIMUM HEALTH CENTRE
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 1098 SUNRISE AVE SUITE 190
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City | ROSEVILLE
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State | CA
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Zip | 95661-4467
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Country | US
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Telephone | 916-521-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 1098 SUNRISE AVE SUITE 190
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City | ROSEVILLE
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State | CA
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Zip | 95661-4467
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Country | US
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Telephone | 916-521-7888
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Fax |
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Authorized Official
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Title or Position | NATUROPATH
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Name | DR. TOD TODD
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Credential | D.N.
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Telephone | 916-521-7888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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